<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
    <head>
        <title>Create Test Bundle</title>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"/>
        <link rel="stylesheet" type="text/css" href="../../lib/bootstrap/css/bootstrap.css">
        <link rel="stylesheet" type="text/css" href="../../lib/bootstrap/css/bootstrap-responsive.css">
        <link rel="stylesheet" type="text/css" href="../test/css/test.css">
        <script type="text/javascript" src="../../lib/jquery-1.7.1.js"></script>
        <link rel="stylesheet" href="../../css/validationEngine.jquery.css" type="text/css"/>
		<script src="../../lib/jsvalidation/languages/jquery.validationEngine-en.js" type="text/javascript" charset="utf-8"></script>
    	<script src="../../lib/jsvalidation/jquery.validationEngine.js" type="text/javascript" charset="utf-8"></script>
    </head>   
 	<body>
 	    <div class="container-fluid">
			<div class="well">
		      <form id="signup" class="form-horizontal" method="post" action="success.php">
				<legend>Sign Up</legend>
				<div class="control-group">
			        <label class="control-label">First Name</label>
					<div class="controls">
					    <div class="input-prepend">
						<span class="add-on"><i class="icon-user"></i></span>
							<input type="text" class="input-xlarge" id="fname" name="fname" placeholder="First Name">
						</div>
					</div>
				</div>
				<div class="control-group ">
			        <label class="control-label">Last Name</label>
					<div class="controls">
					    <div class="input-prepend">
						<span class="add-on"><i class="icon-user"></i></span>
							<input type="text" class="input-xlarge" id="lname" name="lname" placeholder="Last Name">
						</div>
					</div>
				</div>
				<div class="control-group">
			        <label class="control-label">Email</label>
					<div class="controls">
					    <div class="input-prepend">
						<span class="add-on"><i class="icon-envelope"></i></span>
							<input type="text" class="input-xlarge" id="email" name="email" placeholder="Email">
						</div>
					</div>
				</div>
				<div class="control-group">
			        <label class="control-label">Gender</label>
					<div class="controls">

							<p><div id="gender" name="gender" class="btn-group" data-toggle="buttons-radio">
		                    <button type="button" class="btn btn-info">Male</button>
		                    <button type="button" class="btn btn-info">Female</button>

		                  </div></p>

					</div>
				</div>
				<div class="control-group">
			        <label class="control-label">Password</label>
					<div class="controls">
					    <div class="input-prepend">
						<span class="add-on"><i class="icon-lock"></i></span>
							<input type="Password" id="passwd" class="input-xlarge" name="passwd" placeholder="Password">
						</div>
					</div>
				</div>
				<div class="control-group">
			        <label class="control-label">Confirm Password</label>
					<div class="controls">
					    <div class="input-prepend">
						<span class="add-on"><i class="icon-lock"></i></span>
							<input type="Password" id="conpasswd" class="input-xlarge" name="conpasswd" placeholder="Re-enter Password">
						</div>
					</div>
				</div>
				<div class="control-group">
				  <label class="control-label"></label>
			      	<div class="controls">
			       		<button type="submit" class="btn btn-success" >Create My Account</button>
			    	</div>
				</div>
			  </form>
   		</div>
	</div>
</body>	

</html>
